Why are all pregnant women screened for diabetes in pregnancy?
a. Placental hormones produce insulin resis-tance.
b. Increased dietary intake promotes the development of diabetes in pregnancy.
c. Carbohydrate metabolism is altered in preg-nancy.
d. The renal threshold for glucose is decreased in pregnancy.
A
Human placental lactogen lowers the sensitivity of the maternal cells to the action of insulin. Gestational diabetes results from the inability of the pancreas of the pregnant woman to produce enough insulin to move the necessary glucose into the cells for energy production. When this happens, glucose levels may need to be managed by changes in diet. Ketoacidosis may occur in a pregnant woman in whom diabetes has just been detected. Gabbe and colleagues (2007) state that because the pregnant woman is naturally in a state of insulin resistance with lipolysis and ketogenesis, ketoacidosis can occur in pregnant women with a blood glucose level as low as 200 mg/dL.
You might also like to view...
How can the nurse differentiate the client with obsessive-compulsive personality disorder from a client with perfectionist personality traits?
1. Clients with obsessive-compulsive personality disorder will exhibit order in all areas of their lives. 2. Clients with obsessive-compulsive personality disorder will exhibit fear, anxiety, and an excessive need for order. 3. Clients with obsessive-compulsive personality disorder will exhibit the need for perfection in everyone but themselves. 4. Clients with obsessive-compulsive personality disorder will exhibit order in their work lives but are able to relax when away from work.
A patient is suspected of having myasthenia gravis. A small dose of tubocurarine is administered, and the patient develops increased muscle weakness. The nurse would expect to immediately administer:
a. a calcium channel blocker. b. a dopamine agonist. c. a sympathetic stimulant. d. a cholinesterase inhibitor.
Sonya drank 4 oz of juice and 8 oz of milk for breakfast, for lunch she had a 12 oz soda, then she drank
another 12 oz soda mid-afternoon. For dinner she drank 16 oz of water. The amount of fluid she drank equals __________ liters. (Use either proportion or dimensional analysis) Fill in the blank(s) with correct word
An early symptom of peripheral artery disease is
A. Painful cramping of muscles during walking B. Pain is worse when the legs are dependent below the level of the heart C. Pain intensifies after vigorous walking is stopped D. Ulceration or gangrene occurs at the sight of minor injury